Research Article
Volume 3 Issue 9 - 2021
Effectiveness of Routine Patient Cleansing with Chlorhexidine Gluconate for Infection Prevention in Adult Intensive Care Unit

Reem Magadmi, Adahlia Tagalag Basco*, Abdellatif Nader Said, Ahmed Abu Jaber and Essam Abdelmajeed Faris

Security Forces Hospital Program, Dammam, Kingdom of Saudi Arabia
*Corresponding Author: Adahlia Tagalag Basco, Security Forces Hospital Program, Dammam, Kingdom of Saudi Arabia.
Received: July 05, 2021; Published: August 30, 2021


Health care-associated infections are among the most common types of adverse events [19], reported in acute care settings, which includes Ventilator Associated Pneumonia (VAP) and Central Line Associated Bloodstream Infection (CLABSI). Management of these infections incurs significant health care costs compounded by lengthier hospital stay. Initiated in Adult Intensive Care Unit, applying an evidence-based strategy by bathing patient daily with 2% chlorhexidine cloths to prevent healthcare acquired infection like VAP and CLABSI. All patient admitted in AICU were included but patient with skin allergy, with open wounds and ICU stay is less than 48 hours were excluded in the piloting and implementation phase. There were a total of 462 patient admitted in Adult Intensive Care Unit. Out of these admissions 167 (36%) were included in the intervention. Measurement of effectiveness by monthly HAI rate of VAP and CLABSI monitoring during the entire piloting and implementation phase based on data from infection control monthly report. Data for nine months from January to September 2019 starting from first three months of pilot implementation and six months adoption was compared from data of last year 2018. Results indicate that the intervention of bathing patient with chlorhexidine is effective in reducing level of pathogens in the skin thus preventing the occurrence of Ventilator Associated Pneumonia and Central Line Associated Bloodstream Infection. Given the evidence as chlorhexidine bathing was beneficial to decrease the incidence of VAP and CLABSI. Initiative utilizing evidence based practice for patient safety and improving outcome is a step that every institution must be done.

Keywords: Chlorhexidine 2%; Bathing; Intensive Care Unit; Infection Control; Ventilator Associated Event; Central Line Associated Blood Stream Infection; Blood Stream Infection; Hospital Acquired Infection


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Citation: Adahlia Tagalag Basco., et al. “Effectiveness of Routine Patient Cleansing with Chlorhexidine Gluconate for Infection Prevention in Adult Intensive Care Unit” EC Nursing and Healthcare 3.9 (2021): 09-14.

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